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HomeMy WebLinkAboutMiscellaneous - 25 Webster WoodDate. /l w O' TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING '�ACNUy` �. - This certifies that ../... has permission to perform _ ;. . .. �'' ..... ,� ..... plumbing in the buildings,of . at. ...... !...... ,North Andover, Mass. Fee 3'� .... Lic. o.......... " .......... . GPLUM N INSPECTOR Check #a !% 4995 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING r (Type or print) NORTH ANDOVER, MASSACHUSETTS /Date 14 Building Location 30 RVe,ry ?/9r k D E- Owners Name /4e S e I / Permit # 1— OT a, GJef3s4tr woc DS Amount Type of Occupancy New Renovation Replacement Plans Submitted Yes ❑ No ❑ FXT1RES i �-�.�-------------------- ��' ©nc�nnnnnnnn M U nnnn �nMMMMMnnnr��iniinnn . rnnn�innnnnnnnnnnnnnnnnnnn �,�nnnnnnnnnnnnnnnnnnnnnnnnn (Print or type) / / /.?f ;'I / , Check one: Certificate Installing Company Name }�S7 �L� /�1 �/ plUti �1 / Aim 4• o Corp. Address(' f4 ST� iFl If 9` D Q EI tnh'I ,, �1 0307 ❑ Partner. Business Telephone — – 0 3 IFirm/Co. 'r Name of Licensed Plumber: `e–�ReA 6,mllnonr� Insurance Coverage: Indicate ^thetie of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ I hereby certify that all of the details and information I have submitted (or entered best of my knowledge and that all plumbing work and installations performed un compliance with all pertinent provisions of the Massach e s S e Plumbing BY: SignaLure oT Lizenseaum er Title Type of Plumbing License City/Towncense um er Master APPROVED (OFFICE USE ONLY Agent 11 in above application are true and accurate to the Permit Issue for this application will be in and Chapt e General Laws. 011�journeyman ❑ Date ...................... .00 TOWN OF NORTH ANDOVER 0 ' (41 PERMIT FOR GAS INSTALLATION This certifies that ............ has permission for gas installation ............ in the buildings of at .............. North Andover, Mass. Fee.,'/�'. .... Lic. I No........... GAS INSPECTOR Check# � '—// 37 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS ry�! Building Locations 30 Acle r }/ p f w k D r t --D I dS- weg $-kr &J065 permit # A44C C2 `v 9 rAmount $ M e S 4<_" / Owner's Name New 01-� Renovation ❑ Replacement ❑ Plans Submitted ❑ (Print or Iff one: Certificate Installing Company j / Corp. Address �I C'A-5 �I E 11�//f 12,P, PcllFlfen W.,9- ❑ Partner. Business Telephone G, 6 1� .�r1 S— d .? izco. Name of Licensed Plumber or Gas Fitter 3 Ike 1 -e 111 6r, P, M 0 Vli- INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑ If you have checked yes, please indi to the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent 1:3 . ia wiy u=m aii U1 uic uCLaus anu mrormanon i nave sunmiued (or entered) m above application are a and accurate to the best of my knowledge and that all plumbing work and installations performed under Perini Issued for thi p Iication will be in compliance with all pertinent provisions of the Massachusgts� tate Vias Code and Chahte/142 of the n Laws._ >wn .OVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber 111 7 - Gas Fitter License Number r; -*Vaster ❑ Journeyman i (Print or Iff one: Certificate Installing Company j / Corp. Address �I C'A-5 �I E 11�//f 12,P, PcllFlfen W.,9- ❑ Partner. Business Telephone G, 6 1� .�r1 S— d .? izco. Name of Licensed Plumber or Gas Fitter 3 Ike 1 -e 111 6r, P, M 0 Vli- INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑ If you have checked yes, please indi to the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent 1:3 . ia wiy u=m aii U1 uic uCLaus anu mrormanon i nave sunmiued (or entered) m above application are a and accurate to the best of my knowledge and that all plumbing work and installations performed under Perini Issued for thi p Iication will be in compliance with all pertinent provisions of the Massachusgts� tate Vias Code and Chahte/142 of the n Laws._ >wn .OVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber 111 7 - Gas Fitter License Number r; -*Vaster ❑ Journeyman Date.... 3 O J f...! �.'..�./6.... N- ° TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... ,-jCAA C-- .......................................... has permission to perform ......./.../.? PH !� �'°.? ......,...:............. ..... ............................ wiring in the building of ........!° .%. `.. .........� at rl'....'......5[ .... 4 XNorth Andover,,Mass: Y °Fee .. Lic. No. ............. 3r1 ............. ............. ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THE WA MUNWEILTHUI''MAWCHUSE1IN Uttice Use oniy ! DEPARTAIENTOFPUBLICS41WY Permit No. �3 S ! BOARD OFFMPREYEW0NRWU ATIONN527CMR 12:00 Occupancy & Fees Checked 'VA PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street 6 Owner or Tenant Owner's Address To the Inspector of Wires: Is this permit in conjunction with a building permit: Yes ® No F-1 (Check Appropriate Box) Purpose of Building o�> I tom= 1 Uye,�� I` cJ S Utility Authorization No. Existing Service Amps / Volts Overhead Underground No. of Meters New Service c):�)b Amps 19,6 /&-'JoVolts Overhead M Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA __0 groundg1:1round %o,o. of Receptacle Outlets No. of Oil Burners No. ofEmergency Lighting Battery Units ,,No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis N% Hydro Massage Tubs } No. of Motors Total HP 6502 RIN 04S 6uSe "2— Iristra=Caaage Ptasuaitti)ftmwmic lfsdNbswdiEcascaieraILaws -- I hrea=utLmbkhuKa=PbbLygdu&gCay#gbeOpwafi3isCzvaaWcrAsskstrtWe#valert YES NO lhmesu#x iodvaWproofofsanelothe0(tioe YB rJ NO IfjuuhmedimkWYESpleaseirrdi&theNmcfomwbydxdargt c qT9n*box, WorkoSm h>SpectiarDtabeRegtrested S grad urxi M Nr0h es ofpajtay: FIRM NAMEI�1 ►'y�MO _ , I L:"u LL. E*aficnDale Fstn1*d ValrtedHeCtrxal Wc1k $ Ro# Feral Lioa>seNo 3S0 6 %G Buscress TeJ. Na Ak Tel. Na OWNER'S DWRANC'EWAVER;Iainawatedrattheliarsedco nottheinstaaroeoorer>gea 9sst gri6alec�mala asre�medbyM�dxse115GeneralLaws a3divtmysgrtaaaeatthspmnionvm'Asthismw'Rmlat (Please check one) Owner .ED Agent a Telephone No. PERMIT FEE r� Date No 4645 00614*,* TOWN O`F NORTH ANDOVER ma p PERMIT FOR PLUMBING This certifies that ........... ......•..••••••••••••••••• has permission to perform ..':.. ... } �. ,� .:%;✓t•� � ; r ..c. � tet,.,,. plumbing in the buildings of/ ................................. !��-� - �'? ..... , North Andover, Mass. at. '. .. .. .. ................ Fee.,. � ..... Lic. No/.n?7 ....... �`.'-''-?'� �............ . PLUMBING INSPECTOR Check # 1214 L WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS _ _ Date /l �a ` 00 Building Locationr2J S C!%�� l (>� Owners Name J D� c_ of Permit #Z Amount _ Type of Occupancy S "s e_q New Renovation Replacement Plans Submitted Yes No FIXT11RES • � I _ _ ■� � � • � of � � � ��•���iii�iiiiiiiiiiiiii�iiiiii (Print or type) Check one: Installing Company Name G' p -u4# @ u F� Corp. Address IR,�9 %D K 7 5 M Partner Business Telephone / Firm/Co. Name of.Licensed Plumber. / vlA,�,o / /B /? (f cc a � Insure ce Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liabilily insurance policy PJ Other type of indemnity r-1 Bond ❑ Certificate Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner 11 Agent 11 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachutss�s State Pl7bin and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY Type of Plumbing License /© 94 ier nse umoMaster 49 Journeyman